Rougeron V, Feldmann H, Grard G, Becker S, Leroy E M
Laboratoire MiVEGEC, UMR IRD 224 CNRS 5290 UMI, 911 Av. Agropolis, 34394 Montpellier, Cedex 5, France; International Center for Medical Research of Franceville, BP769, Franceville, Gabon.
Laboratory of Virology, Division of Intramural Research, National Institute for Allergy and Infectious Diseases, National Institutes of Health, Rocky Mountain Laboratories, Hamilton, MT, USA.
J Clin Virol. 2015 Mar;64:111-9. doi: 10.1016/j.jcv.2015.01.014. Epub 2015 Jan 23.
Ebolaviruses and Marburgviruses (family Filoviridae) are among the most virulent pathogens for humans and great apes causing severe haemorrhagic fever and death within a matter of days. This group of viruses is characterized by a linear, non-segmented, single-stranded RNA genome of negative polarity. The overall burden of filovirus infections is minimal and negligible compared to the devastation caused by malnutrition and other infectious diseases prevalent in Africa such as malaria, dengue or tuberculosis. In this paper, we review the knowledge gained on the eco/epidemiology, the pathogenesis and the disease control measures for Marburg and Ebola viruses developed over the last 15 years. The overall progress is promising given the little attention that these pathogen have achieved in the past; however, more is to come over the next decade given the more recent interest in these pathogens as potential public and animal health concerns. Licensing of therapeutic and prophylactic options may be achievable over the next 5-10 years.
埃博拉病毒和马尔堡病毒(丝状病毒科)是人类和大猩猩最致命的病原体之一,可在数天内导致严重出血热和死亡。这类病毒的特征是具有线性、不分节段的单链负链RNA基因组。与营养不良以及非洲流行的其他传染病(如疟疾、登革热或结核病)所造成的破坏相比,丝状病毒感染的总体负担极小,可以忽略不计。在本文中,我们回顾了过去15年中在马尔堡病毒和埃博拉病毒的生态/流行病学、发病机制及疾病控制措施方面所取得的认识。鉴于这些病原体过去很少受到关注,总体进展令人鼓舞;然而,鉴于最近人们对这些病原体作为潜在公共卫生和动物健康问题的更多关注,未来十年还会有更多进展。在未来5-10年内,治疗和预防方法的许可或许可以实现。